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New Jersey rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.99 / $504.99 / $504.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.99 / $638.16 / $1,155.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.23 / $1,036.33 / $1,374.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,203.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.41 / $1,264.24 / $1,800.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.96 / $1,374.17 / $1,374.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.61 / $789.74 / $1,374.17